Imaging

  • Breast calcifications mimicking pulmonary nodules
    Moiz Salahuddin, MD, Thomas Reilly, MD and Jorge Mora, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 584-585; DOI: https://doi.org/10.3949/ccjm.84a.16048

    Radiography suggested the lesions were in the lungs, but CT and mammography said otherwise.

  • Concussion: Evaluation and management
    Concussion: Evaluation and management
    Alexandra Stillman, MD, Michael Alexander, MD, Rebekah Mannix, MD, Nancy Madigan, PhD, Alvaro Pascual-Leone, MD, PhD and William P. Meehan, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 623-630; DOI: https://doi.org/10.3949/ccjm.84a.16013

    Initial therapy involves several days of cognitive and physical rest, then a gradual return to activities.

  • Necrotizing pancreatitis: Diagnose, treat, consult
    Tiffany Y. Chua, MD, R. Matthew Walsh, MD, FACS, Mark E. Baker, MD and Tyler Stevens, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 639-648; DOI: https://doi.org/10.3949/ccjm.84a.16052

    Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.

  • Cardiac mass: Tumor or thrombus? (July 2017)
    Mahmoud Abdelghany, MD, Moustafa Elsheshtawy, MD and Hani Kozman, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 659; DOI: https://doi.org/10.3949/ccjm.84c.09003

    Readers comment on cardiac masses (July 2017).

  • Metastatic pulmonary calcification and end-stage renal disease
    James M. Walter, MD, Marion Stanley, MD and Benjamin D. Singer, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 668-669; DOI: https://doi.org/10.3949/ccjm.84a.16132

    CT may show diffusely calcified nodules, high-attenuation areas of consolidation, or fluffy ground-glass nodules.

  • Another complication of cirrhosis
    Houriya Ayoubieh, MD and Eyas Alkhalili, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 701-706; DOI: https://doi.org/10.3949/ccjm.84a.16084

    A patient with cirrhosis presents with acute abdominal pain and shock.

  • Evidence helps, but some decisions remain within the art of medicine
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 88-90; DOI: https://doi.org/10.3949/ccjm.84b.02017

    In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.

  • Drug reaction or metastatic lung cancer?
    Hiromichi Hara, MD, PhD, Hirofumi Utsumi, MD, PhD, Hiroshi Wakui, MD, PhD, Haruhiko Yanagisawa, MD, PhD, Mitsuo Hashimoto, MD, PhD and Kazuyoshi Kuwano, MD, PhD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 914-915; DOI: https://doi.org/10.3949/ccjm.84a.17005

    Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

  • The Leser-Trélat sign
    Christopher Sardon, MD, MPH and Timothy Dempsey, MD, MPH
    Cleveland Clinic Journal of Medicine December 2017, 84 (12) 918; DOI: https://doi.org/10.3949/ccjm.84a.17021

    The patient presented with night sweats, dry cough, weight loss, and sudden onset of “itchy moles” on her back.

  • Phlegmasia cerulea dolens from radiation-induced venous stenosis
    Suman Paul, MBBS, PhD and Mujeeb Sheikh, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 865-867; DOI: https://doi.org/10.3949/ccjm.83a.15166

    The patient had received pelvic radiation 10 years earlier for prostate cancer.

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